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anesthesiology cardiology checklist intraoperative workup anaphylaxis arrest clinical cooling differential echocardiogram endocarditis evaluation intracardiac ischaemia ischemia neuroprotection palpitations perioperative preop
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
hypertension, tachy- or bradycardia ... consultation with cardiology ... Anesthesiology #Anesthesia ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
system including valves ... known drug causes (eg ... Intraoperative #Checklist #Diagnosis ... #Management #Workup ... #Cardiology
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... 85% of predicted value ... Contraindications: - Bradycardia ... : EKG ($), ECHO ... #management #diagnosis
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
features are shown ... tamponade recurs. ❿ Plan ... definitive management ... specialist referral. ⓫ Plan ... #Management #Workup
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
tachycardia or bradycardia ... • Plan for repeat ... feasible (Box B). ⓭ Plan ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Intracardiac Rhabdomyomas on Echocardiogram Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Echocardiogram Huge cardiac ... masses...initially diagnosed ... just beneath the aortic ... valve Anguished ... #pocus #plax
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 Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... failure • Mitral valve ... ., aortic insufficiency ... regurgitation • Severe aortic ... Mechanical prosthetic valve
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... develop (Box B). ❾ Plan ... further management ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
• Prosthetic valve ... CA • Involves aortic ... ↑ ESR, CRP • EKG ... block, annular or aortic ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... risk (>5%): - Aortic ... - Cataract Plan ... medical and surgical management ... stratification #diagnosis
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